NPI | 1407520554 |
---|---|
Doing Business As | CROSSROADS HEALTH AND WELLNESS |
Entity Type | Organization |
Authorized Contact | MARIANNA DOWELL Assessment Counselor 904-701-0229 |
Organization Subpart ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
Additional Taxonomies | 207Q00000X Family Medicine |
2084P0800X Psychiatry & Neurology, Psychiatry | |
251S00000X | |
261QH0100X Clinic/Center, Health Services | |
Enumeration Date | 2021-08-03 |
Last Update Date | 2022-08-05 |